Heart Retransplantation in a Patient with Cardiac Allograft Vasculopathy after Primary Heart Transplantation?: A case report.
- Author:
Man Shik SHIM
1
;
Kiick SUNG
;
Wook Sung KIM
;
Young Tak LEE
;
Eun Seok JEON
;
Pyo Won PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. pwpark@skku.edu
- Publication Type:Case Report
- Keywords:
Heart transplantation;
Allograft;
Heart failure;
Rejection
- MeSH:
Arteries;
Cardiomyopathy, Dilated;
Constriction, Pathologic;
Heart;
Heart Failure;
Heart Transplantation;
Humans;
Male;
Rejection (Psychology);
Reperfusion;
Transplantation, Homologous;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2010;43(1):73-76
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cardiac allograft vasculopathy (CAV) is a major factor that limits the long-term survival after cardiac transplantation. Because the main feature of CAV is a diffuse stenosis that predominantly develops in the distal arteries, reperfusion therapy has shown poor outcomes. The results of cardiac retransplantation for CAV are better than that for acute resection and the survival is identical to that of patients who undergo primary transplantation. We describe a case of performing cardiac retransplantation in a 28 year-old male patient with refractory CAV and who underwent primary transplantation due to dilated cardiomyopathy 8 years previously.
